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February 9, 2001

Folsom High Students, Staff Take Preventive Medicine


By Peter Hecht
The Sacramento Bee Staff Writer


Like students anywhere else, classmates at Folsom High are well familiar with school assemblies and the hurry-up-and-waits they endure lining up for everything from pep rallies to hot lunches. But Friday, summoned out of classrooms by the hundreds, they lined up feeling unusual anxiousness and grief.

Nearly 2,400 students and scores of faculty and staff members queued up before school nurses and public health workers to receive doses of antibiotics. The pills were given out in hope of eradicating a bacteria that can cause meningococcal disease. The students gathered, knowing that two of their classmates had died from the disease.

"Just to stand in line to take a pill is incredible," said Brett DeWitt, 17, the student body president. "It's not a normal thing. I told my friends: You will remember this the rest of your lives."

Tanya Edsall, 17, died Wednesday of the bacterial blood infection related to meningitis. Classmate Robert Karle, 18, died from a similar condition last month.

In an extraordinary effort, Sacramento County health officials decided to summon the students to the school multipurpose room and administer -- with parents' permission -- doses of ciprofloxacin, an antibiotic that can eliminate the meningoccus bacteria from the nose and throat of people who may carry it.

Nationally, 3,000 cases of meningococcal disease occur each year in the United States and about 10 percent of cases are fatal. The bacteria is most often spread through an exchange of saliva caused from such casual things as people sharing sodas, lipstick or cigarettes. As much as 20 percent of the population carries the bacteria. But most will never suffer the illness, which first appears with common flu-like symptoms.

Public health officials normally only recommend dispensing antibiotics to close friends or family members of meningitis sufferers. They fear giving out too many antibiotics could eventually lead to more resistant, and dangerous, strains of bacteria.

But two deaths at one school, and a resulting wave of fear spreading throughout the community, convinced them it was time to act in a substantial way.

"I hope we never have to repeat this," said county Health Officer Glennah Trochet. "We are expecting to stop it. The whole point is that we believe this bacteria must be in this community, among these kids. The point is to eliminate this in this high school. To do that, we must do this (administer antibiotics) all at once."

The recent deaths and Friday's dispensing of the antibiotic was unsettling to students such as Quinn McCutchan, a 17-year-old junior. She'd had some minor cold and flu symptoms recently that she normally wouldn't have given a second thought. She called her family doctor and asked her if she should take the antibiotic. "She assured me ... that this was the best thing to do," she said.

McCutchan knew the two students who died, though not well.

"Tanya was in my French class and I knew her from volleyball and I knew her little sister too," she said. "I knew Robert from several years ago .... It really makes you question. Is this supposed to happen to kids in our life? Death is a natural. But it seems completely unnatural for a place like this."

Besides the anxiety that has permeated the campus, Blaine White, a Folsom High School counselor, has had to help deal with the grief. This week, he met with friends rocked by the death of Edsall, a young woman who excelled in art classes and worked as an assistant in the school office.

"Some students in grief seem to say it seems like everyone's dying," said White, who added that kids in particular who have lost family members in recent years have taken the events quite hard. "Quite a few have suffered some other loss. This triggers that recent grief. And it's scary to them."

School registrar Pam Hardenbrook, mother of two students, Lisa, 18, and Kelly, 16, said her daughters and most students "are not panicked," yet "are concerned for their friends." But their parents may be another story.

"I think it's harder on some of the parents than the kids," she said. "They're just really reacting strongly."

Principal Jill Solberg said "close to 100 percent" of students on campus were taking the antibiotic. A few declined for religious reason or if they had taken the same antibiotic in recent days.

Some of the kids did their best to make light of it all.

I'm gonna freak," one girl exclaimed to her friends when a nurse told her she couldn't have a Coke at lunchtime because caffeine wasn't allowed with the antibiotic. And two boys anxiously slapped palms after taking the pill. "I don't like this, dude," one said.

"It's weird taking this pill because two people have died," said Peter Kroff, an 18-year-old senior. "They didn't have this chance."

 

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